Individual
HEATHER HOLLENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 MELTON RD, GARY, IN 46403-3114
(219) 938-4651
(219) 938-4679
Mailing address
8000 MELTON RD, GARY, IN 46403-3114
(219) 938-4651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C2-3501
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
09/26/2019
Last updated
11/05/2020
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